Exercise After Lumbar Disc Herniation Surgery

NCT06046781 | Completed

• 1 other identifier: SC/2023
• Study Type: interventional
• Target: 204
• Locations: 1 country
• Sites: 1

Brief Summary

Physical therapy and rehabilitation may improve low back pain and quality of life after lumbar disc herniation. But there is not any agreement of its optimal start time, and rehabilitative methods. This study evaluates the effects of early and late rehabilitation to the low back pain and quality of life following unilateral microdiscectomy.

Conditions

Disc Herniation; Surgery

Keywords

Lumbar disc herniation; Lumbar microdiscectomy; physical exercise

Outcome Measures

Primary Outcomes (1)

• Affect on back pain

  Different effects of early and late rehabilitation to the low back pain following unilateral microdiscectomy. Pain status will be evaluated with the Visual Analogue Scale.

  0 - 1 Months in the post-operative period

Study Arms (5)

Control group

OTHER

One group served as the control and was advised not to participate in any postoperative exercise.

Other: physical exercise

Second week walking group

EXPERIMENTAL

Postoperative walking initiated 2 weeks following surgery.

Other: physical exercise

One month walking group

EXPERIMENTAL

Postoperative walking initiated one month following surgery.

Other: physical exercise

Second week waist exercise group

EXPERIMENTAL

Postoperative waist exercise initiated 2 weeks following surgery.

Other: physical exercise

One month waist exercise group

EXPERIMENTAL

Postoperative waist exercise 1 month following surgery.

Other: physical exercise

Interventions

physical exercise OTHER

The patients were randomized into 5 groups as control group, walking at 2 weeks, walking at 4 weeks, waist exercise at 2 weeks, waist exercise at 4 weeks.

Control group; One month waist exercise group; One month walking group; Second week waist exercise group; Second week walking group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• radicular pain that persisted despite 4-6 weeks of conservative treatment,
• detection of single-level disc herniation in MRI lumbar microsurgery.
• Individuals who underwent single-level unilateral lumbar microsurgery. Those with a surgical incision \<3 cm.

You may not qualify if:

• Individuals with more than one level of muscle exposure at the time of surgery.
• those with a skin incision \>3 cm

Sponsors & Collaborators

• Istanbul Medeniyet University: lead

Study Sites (1)

Istanbul Medeniyet University Medical Faculty Goztepe Suleyman Yalcin City Hospital

Istanbul, Kadıkoy, 34722, Turkey (Türkiye)

Location

Related Publications (10)

• Kim YK, Kang D, Lee I, Kim SY. Differences in the Incidence of Symptomatic Cervical and Lumbar Disc Herniation According to Age, Sex and National Health Insurance Eligibility: A Pilot Study on the Disease's Association with Work. Int J Environ Res Public Health. 2018 Sep 25;15(10):2094. doi: 10.3390/ijerph15102094.

  PMID: 30257414 BACKGROUND

• Hlubek RJ, Mundis GM Jr. Treatment for Recurrent Lumbar Disc Herniation. Curr Rev Musculoskelet Med. 2017 Dec;10(4):517-520. doi: 10.1007/s12178-017-9450-3.

  PMID: 29103156 BACKGROUND

• Huang W, Han Z, Liu J, Yu L, Yu X. Risk Factors for Recurrent Lumbar Disc Herniation: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2016 Jan;95(2):e2378. doi: 10.1097/MD.0000000000002378.

  PMID: 26765413 BACKGROUND

• Lewis RA, Williams NH, Sutton AJ, Burton K, Din NU, Matar HE, Hendry M, Phillips CJ, Nafees S, Fitzsimmons D, Rickard I, Wilkinson C. Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. Spine J. 2015 Jun 1;15(6):1461-77. doi: 10.1016/j.spinee.2013.08.049. Epub 2013 Oct 4.

  PMID: 24412033 BACKGROUND

• Rasouli MR, Rahimi-Movaghar V, Shokraneh F, Moradi-Lakeh M, Chou R. Minimally invasive discectomy versus microdiscectomy/open discectomy for symptomatic lumbar disc herniation. Cochrane Database Syst Rev. 2014 Sep 4;2014(9):CD010328. doi: 10.1002/14651858.CD010328.pub2.

  PMID: 25184502 BACKGROUND

• Yoon SM, Ahn SS, Kim KH, Kim YD, Cho JH, Kim DH. Comparative Study of the Outcomes of Percutaneous Endoscopic Lumbar Discectomy and Microscopic Lumbar Discectomy Using the Tubular Retractor System Based on the VAS, ODI, and SF-36. Korean J Spine. 2012 Sep;9(3):215-22. doi: 10.14245/kjs.2012.9.3.215. Epub 2012 Sep 30.

  PMID: 25983818 BACKGROUND

• Parker SL, Mendenhall SK, Godil SS, Sivasubramanian P, Cahill K, Ziewacz J, McGirt MJ. Incidence of Low Back Pain After Lumbar Discectomy for Herniated Disc and Its Effect on Patient-reported Outcomes. Clin Orthop Relat Res. 2015 Jun;473(6):1988-99. doi: 10.1007/s11999-015-4193-1.

  PMID: 25694267 BACKGROUND

• Hebert JJ, Fritz JM, Thackeray A, Koppenhaver SL, Teyhen D. Early multimodal rehabilitation following lumbar disc surgery: a randomised clinical trial comparing the effects of two exercise programmes on clinical outcome and lumbar multifidus muscle function. Br J Sports Med. 2015 Jan;49(2):100-6. doi: 10.1136/bjsports-2013-092402. Epub 2013 Sep 12.

  PMID: 24029724 BACKGROUND

• Barbosa TP, Raposo AR, Cunha PD, Cruz Oliveira N, Lobarinhas A, Varanda P, Direito-Santos B. Rehabilitation after cervical and lumbar spine surgery. EFORT Open Rev. 2023 Aug 1;8(8):626-638. doi: 10.1530/EOR-23-0015.

  PMID: 37526242 BACKGROUND

• Vialle LR, Vialle EN, Suarez Henao JE, Giraldo G. LUMBAR DISC HERNIATION. Rev Bras Ortop. 2015 Nov 16;45(1):17-22. doi: 10.1016/S2255-4971(15)30211-1. eCollection 2010 Jan.

  PMID: 27019834 RESULT

MeSH Terms

Conditions

Intervertebral Disc Displacement; Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Model Details: A total of 204 patients who underwent surgery for lumbar disc herniation were included and subsequently randomized into five groups. One group served as the control and was advised not to participate in any postoperative exercise. The remaining groups were recommended different exercises, which began at various times after surgery.

Study Record Dates

• First Submitted: September 13, 2023
• First Posted: September 21, 2023
• Study Start: April 1, 2023
• Primary Completion: September 1, 2023
• Study Completion: September 7, 2023
• Last Updated: September 21, 2023

Record last verified: 2023-09

Locations

TU (1)